Hospital Name OUR LADY OF MERCY MEDICAL CENTER
PFI # 1168
Revised: 7/02
Complaints:
| Complaint Information: | 2001 |
| Complaint Investigations Completed: | 10 |
| Complaints with Statements of Deficiencies (SOD) issued: | 5 |
| % of Complaints with SODs Issued | 50% |
| Regional % of Complaints with SODs issued: | 38.5% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
| 04/05/01 | 405.10 | Medical Records - General Requirements | 07/06/01 |
| 08/01/01 | 405.04 | Medical Staff - Medical Staff Accountability | 12/03/01 |
| 08/01/01 | 405.06 | Quality Assurance Program | 12/03/01 |
| 08/01/01 | 405.09 | Admission/Discharge - Discharge | 12/03/01 |
| 08/13/01 | 405.04 | Medical Staff - Medical Staff Accountability | |
| 08/13/01 | 405.06 | Quality Assurance Program | |
| 08/13/01 | 405.19 | Emergency Services | |
| 10/03/01 | 405.06 | Quality Assurance Program | 11/14/01 |
| 10/03/01 | 405.10 | Medical Records - General Requirements | 11/14/01 |
| 10/31/01 | 405.04 | Medical Staff - Medical Staff Accountability | 12/18/01 |
| 10/31/01 | 405.05 | Nursing Services - Delivery of Services | 12/18/01 |
| 10/31/01 | 405.06 | Quality Assurance Program | 12/18/01 |
| 10/31/01 | 405.10 | Medical Records - Content | 12/18/01 |
| 10/31/01 | 405.23 | Food and Dietetic Services - General | 12/18/01 |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
| 05/15/01 | 702.02 | Housekeeping | 08/09/01 |
| 05/15/01 | 751.05 | Operating Policies and Procedures | 08/09/01 |
| 05/15/01 | 751.06 | Personnel | 08/09/01 |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |